Individual
BETHANY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2705 N 4TH ST, FLAGSTAFF, AZ 86004-1846
(928) 233-8801
Mailing address
PO BOX 35662, BELFAST, ME 04915-0634
(928) 447-7240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51839
AZ
Other
Enumeration date
04/23/2013
Last updated
10/06/2023
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